Public health and other researchers express growing concern for the role of maternal adiposity and gestational weight gain in driving the obesity epidemic and health disparities based on race and class. Biocultural scholars must continue to contribute to conversations on how best to address issues of population health including the developmental context of obesity, drawing from both evolutionary and social theory. I discuss a number of intervention studies designed to address gestational weight gain in low‐income and minority women and consider the degree to which they address the social, political, and economic context, and developmental history of mothers. I further examine the potential for these interventions, focused on the individual behavior of mothers, to contribute to stigma based on socially defined race, class, and body shape and size, and to draw attention away from the powerful economic interests that contribute to and benefit from the obesity epidemic. I end with a discussion of the value of developmental systems theory for thinking critically about obesity and other health interventions.

中文翻译：

---

生物文化方法在评估孕产妇体重和妊娠体重增加的干预措施中的作用。

公共卫生和其他研究人员对孕产妇肥胖和妊娠体重增加在驱动肥胖流行和基于种族和阶级的健康差异方面的作用日益表示关注。生物文化学者必须继续从进化论和社会理论的角度，就如何最好地解决人口健康问题（包括肥胖症的发展背景）的对话做出贡献。我讨论了一些旨在解决低收入和少数族裔妇女妊娠体重增加的干预研究，并考虑了她们在多大程度上解决了社会，政治和经济背景以及母亲的发展史。我将进一步研究这些干预措施的潜力，这些干预措施的重点是母亲的个人行为，从而根据社会定义的种族，阶级，身体形态和大小为耻辱做出贡献，并引起人们的注意，使之远离引起肥胖病流行并从中受益的强大的经济利益。最后，我将讨论发展系统理论对肥胖和其他健康干预进行批判性思考的价值。